Radiological.ai

Compare ยท New Lantern

New Lantern AI alternative for radiology groups that want to keep their PACS

The short answer

New Lantern is a San Francisco company, founded in 2021, whose cloud platform replaces the PACS viewer, worklist and dictation system with one workspace, and whose AI, called Curie, pre-drafts much of the report. Choosing it is a platform decision, because you migrate off the PACS you run today. Radiological.ai is the lighter alternative: it keeps your PACS and adds an assistant over standard DICOM that flags suspected findings, prioritizes the worklist and drafts the structured report, on published plans of $399 per radiologist a month or $199 billed annually, and $598 a month or $299 billed annually for groups. The radiologist reviews, edits and signs every study.

New Lantern is one of the more interesting companies to come into radiology software in the last few years. It was founded in 2021 by Shiva Suri, a software engineer who watched his radiologist mother work from home during the pandemic and lose hours switching between five different PACS platforms. Benchmark led its 19 million dollar Series A in November 2024. The product answers exactly that complaint: one cloud workspace holding the worklist, a browser viewer and an AI reporter called Curie, which the company says pre-drafts up to 75 percent of the report before the radiologist starts dictating. Mammography and PET/CT viewers have since been added, and the company names Radiology Associates of Corpus Christi and Southern Radiology Ventures as customers.

The catch is the same one that comes with any whole-stack product. New Lantern describes itself as a PACS replacement, not an overlay, so adopting it means migrating priors, reconciling the archive, retraining every radiologist on a new viewer and running the group on a system that is new on the day it goes live. For a group that already wants out of its PACS, that is the point. For a group that likes its PACS and wants the AI help, it is a very large project bought to get a feature.

Radiological.ai is built for the second group. It connects to the PACS you already run over standard DICOM and adds the assistant: it flags suspected findings for your review, pushes suspected time-critical studies to the top of the worklist and drafts the structured report into your own template before you sit down. Nothing about your viewer, archive or priors changes. It is decision support, and you review, edit and sign every study.

The Reading Station

Worklist

Not for diagnostic use

Structured report

Draft

Run the assistant to draft this report for review.

You review & sign

Decision support. The radiologist reviews and signs every study.

Drafted in ยท you review & sign Worklist re-prioritized

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional judgment.

See the comparison

Flag · prioritize · draft · you review and sign

New Lantern replaces your PACS, worklist and dictation with one AI-native cloud platform; Radiological.ai adds flagging, triage and report drafting to the PACS you already own, so the AI arrives without a migration.

Side by side

New Lantern vs Sirona Medical, side by side

The two cloud platforms that come up when a group is asked to replace PACS, viewer and reporter together. Neither column is the sales column; both are compiled the same way.

What changes New Lantern Sirona Medical
What you are buying A cloud workspace that replaces the PACS viewer, worklist and dictation system, with the Curie AI drafting the report inside it. RadOS, sold to groups as Sirona Unify: a cloud radiology operating system unifying viewer, archive, worklist and reporter on one data model.
AI in the report Curie pre-drafts up to 75 percent of the report by the vendor account, completes free-dictated findings into sentences and generates guideline-based impressions. A native reporter inside the platform, with the unified data model designed so AI can work across viewer, worklist and report.
FDA record in openFDA No 510(k) records. Registration and listing shows New Lantern Platform and Curie under product code LMD, 21 CFR 892.2020, Class I and exempt from 510(k), listed February 9, 2024. K251030, Sirona Advanced Imaging Suite, cleared October 22, 2025 under product code LLZ, 21 CFR 892.2050, Class II.
What that code covers 892.2020 covers image transfer plus simple review tools such as window and level, zoom, pan and user-drawn measurements. It excludes advanced image processing and complex quantitative functions. 892.2050 covers review and processing for interpretation, including segmentation, multimodality registration, 3D visualization and semi-automated measurements.
Specialty viewers Mammography and PET/CT viewers added to the platform, with sub-second image loading claimed. Diagnostic viewer delivered in the browser as part of the unified platform.
Named customers Radiology Associates of Corpus Christi and Southern Radiology Ventures. A multi-year partnership with Everlight Radiology.
Migration scope Full PACS replacement: priors, archive, worklist rules and reporting templates all move. Full stack replacement on the same scale: PACS, RIS-facing worklist and reporter all move.
Published pricing No list price found on the vendor site. Quoted per group. No list price found on the vendor site. Quoted per group.
Best suited for A group that wants out of its current PACS and would rather buy the viewer and the AI drafting from one young vendor. A larger group or teleradiology operator consolidating a patchwork stack onto one platform with a cleared imaging suite.

Compiled from each vendor site, trade press coverage and the openFDA 510(k), registration and listing, and classification endpoints. The FDA rows are public records you can reproduce yourself; the product rows are vendor descriptions. Confirm current modules and contract terms with each vendor before a shortlist depends on this table.

The FDA record

Where radiology software sits in the FDA database

Every product code a PACS, viewer or imaging AI vendor is likely to list or clear under, with the regulation behind it and how many companies are on record. Use it to check any vendor on your shortlist, including us.

FDA product code Regulation Class 510(k) required Registered listings 510(k) records
LMD: digital image communications, radiological 21 CFR 892.2020 I No, exempt 152 142
LLZ: image processing system, radiological 21 CFR 892.2050 II Yes 2,001 2,287
QIH: automated radiological image processing software 21 CFR 892.2050 II Yes 625 326
QAS: computer-assisted triage and notification 21 CFR 892.2080 II Yes 69 87
QFM: computer-assisted prioritization for lesions 21 CFR 892.2080 II Yes 35 41
QBS: computer-assisted detection for fracture 21 CFR 892.2090 II Yes 11 11

Counts from the openFDA registration and listing and 510(k) endpoints; regulation, class and exemption from the openFDA classification endpoint and the eCFR text of 21 CFR part 892. A registration listing is a company telling FDA it makes a device of that type. A 510(k) record is an FDA decision. LMD still shows historical 510(k) records because its exemption is subject to the limits in 21 CFR 892.9.

Side by side

Radiological.ai vs New Lantern, honestly

A fair look at what each does well. Both are capable tools. Here is where they differ.

What matters Radiological.ai New Lantern
What you are buying An assistant added to the PACS you already run, over standard DICOM A cloud platform that replaces the PACS viewer, worklist and dictation system
Migration scope No archive migration, no new viewer, no change to how priors load Priors, archive, worklist rules and templates move to the new platform
Report drafting Drafts the structured report into your template for you to edit and sign Curie pre-drafts the report and completes free-dictated findings, a genuine strength
Finding flags and worklist triage Flags suspected findings and moves suspected time-critical studies up your queue Intelligent worklist inside the platform; drafting is the headline AI job
Viewer Your existing diagnostic viewer, unchanged Its own browser viewer with 3D, mammography and PET/CT support
Pricing transparency Published per radiologist: $399 a month or $199 billed annually, and $598 a month or $299 billed annually for groups No public list price; quoted per group
Regulatory status Decision support; we make no regulatory-status claims on this site Registered and listed under LMD, Class I and 510(k) exempt; no 510(k) on record

Comparison reflects general, publicly understood positioning. Capabilities change, so check each product for the latest.

The closest comparison to this one is our Sirona Medical alternative page, because Sirona and New Lantern are the two cloud platforms groups get pitched when the proposal is to replace PACS, viewer and reporter in one move. If you are genuinely shopping for a new archive and viewer, cloud based PACS separates the four different things sold under that name, and PACS software sorts vendors by study volume.

If the PACS is fine and the goal is the AI, the relevant pages are radiology AI PACS integration, which covers what arrives in your existing viewer and RIS over DICOM and HL7, and the radiology report generator, which covers how a draft shows up populated rather than blank. Groups replacing a dictation system rather than a PACS usually start at radiology dictation software or the best radiology reporting software compared.

Whichever way you lean, read the FDA table above against every vendor on the list, us included. Our FDA approved radiology AI page shows how to look up any K number in about a minute, and the questions worth asking a radiology AI vendor covers the rest of the diligence, from shadow periods to what the renewal looks like in year three.

Why groups pick Radiological.ai

One assistant across the whole read

The AI without the PACS project

Most of what makes New Lantern attractive to a radiologist is the drafted report and a worklist that thinks. You can get flagging, triage and a drafted report on the PACS you already run, which is an integration measured in weeks rather than a migration measured in quarters.

Your priors stay where they are

The expensive, risky part of any PACS replacement is the archive: years of priors that have to move, reconcile and load fast on day one. Leaving the archive alone removes the single biggest source of go-live pain, and it keeps a comparison study one click away the way your radiologists expect.

Decision support, you always sign

Every flag is a prompt to look, every priority is a suggestion about reading order, and every report is a draft. The responsible radiologist reviews, edits and signs each study. That holds whether the assistant sits on your PACS or inside a new platform, and it is where clinical judgment belongs.

Good questions

New Lantern vs Radiological.ai, answered

New Lantern is a San Francisco radiology software company founded in 2021 by Shiva Suri. Its cloud platform combines a worklist, a browser-based PACS viewer and an AI reporter called Curie in one workspace, and the company says Curie pre-drafts up to 75 percent of a radiology report before the radiologist dictates. Benchmark led its 19 million dollar Series A in November 2024.
New Lantern has no 510(k) clearance in the openFDA database. Its site says it is registered with FDA as a Class I medical image communications device, exempt from 510(k), and FDA registration and listing shows New Lantern Platform and Curie under product code LMD, 21 CFR 892.2020. That regulation excludes advanced image processing and complex quantitative functions, so ask which listing covers 3D tools and automated measurements.
Yes, by design. New Lantern describes its platform as a complete PACS replacement rather than an overlay, holding the worklist, the diagnostic viewer and AI-powered reporting and dictation in one system. That makes it a migration project: priors, archive, worklist rules and templates move onto the new platform. Groups that want to keep their PACS need an assistant that connects to it instead.
New Lantern does not publish pricing, so expect a quote scoped to your group, study volume and modalities. For a PACS replacement, the subscription is only part of the cost: archive migration, interface work with your RIS and EHR, and radiologist retraining usually decide the first-year total. Ask for the migration line item in writing before comparing quotes.
The closest competitor is Sirona Medical, another cloud platform that replaces PACS, viewer, worklist and reporter together. On the reporting side it competes with Rad AI, RADPAIR and PowerScribe One, and on the viewer side with established PACS vendors. Radiological.ai is a different kind of competitor: it adds flagging, triage and drafting to the PACS you keep rather than replacing it.
It is if you want the AI help without replacing your PACS. Radiological.ai connects over standard DICOM, flags suspected findings, prioritizes the worklist and drafts the structured report, and it publishes its pricing. If your real goal is a new viewer and archive from one vendor, New Lantern or Sirona Medical is the more direct answer, and we would rather say so.
Five things. Which FDA listing or clearance covers each function you will use clinically, especially 3D and measurements. How priors migrate and how long the archive runs in parallel. Which RIS, EHR and dictation integrations are live at a comparable group. What uptime and data-exit terms the contract carries. And what the subscription does at the first renewal, in writing.

More comparisons

See how Radiological.ai compares

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Nuance PowerScribe alternative

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Viz.ai alternative

Beyond acute stroke triage, across the whole read.

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Nuance DAX alternative

Built for the read, not for the patient conversation.

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Gleamer alternative

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vs PowerScribe One

PowerScribe One vs 360

What actually changes in the cloud move, and the third option.

vs Sirona Medical

Sirona Medical alternative

Add the assistant to the PACS you already run, without replacing the stack.

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Past the stroke pathway, across the whole reading list.

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Dragon Medical One pricing

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PowerScribe pricing

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RadPair vs PowerScribe

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Aidoc vs Viz.ai

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vs vRad (Virtual Radiologic)

vRad alternative

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ONRAD alternative

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Real Radiology alternative

Real Radiology publishes no rate card. 41 Army and VA contract awards do.

vs Experity Teleradiology

Experity Teleradiology alternative

The urgent care reading service that started as one Scottsdale radiologist and now sits inside an EMR company.

vs Sectra PACS

Sectra PACS alternative

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vs Visage PACS

Visage PACS alternative

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Intelerad PACS alternative

The teleradiology favorite, now a GE HealthCare business, with a renewal conversation that just changed.

vs Exa PACS

Exa PACS alternative

Often sold alongside a Konica X-ray room, with a thin public record you should fill in before you sign.

vs GE Centricity PACS

GE Centricity PACS alternative

An aging install base, three GE PACS lines under one owner, and a recall record you should read before the renewal.

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Agfa PACS alternative

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McKesson PACS alternative

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vs Mach7

Mach7 alternative

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vs iCAD

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Transpara alternative

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Subtle Medical alternative

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From the blog: what the PowerScribe 360 end of life means for radiology groups, how much radiology AI costs, and the full comparison of the best AI radiology software in 2026.

See how Radiological.ai reads alongside your group

One assistant that flags suspected findings, prioritizes the worklist, and drafts the structured report on X-ray, CT and MRI. You review and sign every study.

See pricing

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional medical judgment.